Why join? Joining the 100 Club includes your membership of the Co-operative Party, as well as a range of other benefits including: A ticket to the special events including our Annual Club Reception and the Party’s reception at Labour Party Conference; A complimentary pass for Co-operative Party events including Annual Conference, Local Government Conference and our Policy Conference; A specially commissioned lapel badge; A regular update from the General Secretary on the work your contributions are funding. Name* First Last Email* Address* Street Address Address Line 2 City ZIP / Postal Code How would you like to pay for your 100 Club membership?*I’ll pay £8.33 per month by Direct DebitI’ll pay £100 per year by Direct DebitI’ll pay £100 per year by credit or debit cardI’ll pay by cheque or standing order Monthly Direct DebitPlease change my existing Direct Debit to £8.33 per monthI want to set up a new Direct DebitAnnual Direct DebitPlease change my existing Direct Debit to £100 per yearI want to set up a new Direct Debit100 Club Annual Membership Price: £ 100.00 Would you like to make an additional donation? (If yes, please insert the amount below) Total £ 0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Name(s) of account holder(s)Account numberSort code This iframe contains the logic required to handle Ajax powered Gravity Forms.